NICOLE M BODINE (NPI# 1780981159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780981159 |
| Entity Type | Individual |
| Full Name | NICOLE M BODINE |
| Credential | CRNP |
| Practice Address |
1700 W 2nd St Gulf Shores AL 36542-3422 |
| Mailing Address |
Po Box 2699 Attn Shmg/hpe Pensacola FL 32513-2699 |
| Practice Telephone | 2519674000 |
| Practice Fax Number | 2519672398 |
| Mailing Telephone | 2519674000 |
| Mailing Fax Number | 2519672398 |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2020-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-104085 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 E 15th Ave, Gulf Shores, AL 365423501 | 2519621250 | 2519677832 |
| 1851 N Mckenzie St Ste 206, Foley, AL 365354702 | 2519438515 | 2519704206 |
| 21141 State Highway 59 Ste 1, Robertsdale, AL 365676740 | 2514241160 | 2514241161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689047870 | Nicole Bodine | Registered Nurse | 559 Vincent St Bldg 959, Colorado Springs, CO 80914-1541 | 2015-11-10 |
| Street Address |
1700 W 2ND ST |
| City | GULF SHORES |
| State | AL |
| Zip Code | 36542-3422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093174286 | Alabama Providence Healthcare Services | General Practice | 1700 W 2nd St, Gulf Shores, AL 36542-3422 | 2016-02-16 |
| 1053711911 | Erin Dewrell Prendergast | Nurse Practitioner | 1700 W 2nd St, Gulf Shores, AL 36542-3422 | 2014-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073169843 | Mary P Nasello | Technician | 11352 Kelly Ln., Gulf Shores, AL 36542 | 2019-08-16 |
| 1174184915 | Luce Dental Inc. | Clinic/Center | 2025 West 1st St, Gulf Shores, AL 36542 | 2019-06-24 |
| 1699222752 | Jamie M Hayes | Pharmacist | 1527 Gulf Shores Parkway, Gulf Shores, AL 36542 | 2016-09-07 |
| 1265854210 | Mary Edwards | Dentist | 105 West 14th Ave, Gulf Shores, AL 36542 | 2014-01-10 |
| 1629414594 | William Murray Hodge | Counselor | 1401 1st Street, Gulf Shores, AL 36542 | 2013-05-17 |
| 1669720405 | James V Shamburger, Dmd, PC | Dentist | 208 W 19th Ave, Gulf Shores, AL 36542 | 2012-08-28 |
| 1194093658 | Pamela O. Edwards | Dentist | 105 West 14th Avenue, Gulf Shores, AL 36542 | 2011-12-12 |
| 1700198132 | Alycia Marie Kapiotis | Nurse Practitioner | 7293 Roscoe Rd, Gulf Shores, AL 36542 | 2010-07-14 |
| 1699946855 | Dr. Lyle Keith Cooper | Chiropractor | 3325 Gulf Shores Parkway, Gulf Shores, AL 36542 | 2008-03-17 |
| 1780803387 | Lucy Hazebrook | Pharmacist | 1527 Highway 59 South, Gulf Shores, AL 36542 | 2007-04-24 |
| Find all providers in zip 36542 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700198132 | Alycia Marie Kapiotis | Nurse Practitioner | 7293 Roscoe Rd, Gulf Shores, AL 36542 | 2010-07-14 |
| 1558863480 | Maranda Fleming Mccoy | Nurse Practitioner | 101 E 15th Ave, Gulf Shores, AL 36542-3501 | 2018-03-07 |
| 1588165559 | Shelby Nicole Sullivan | Nurse Practitioner | 156 E 15th Ave, Gulf Shores, AL 36542-3516 | 2018-02-26 |
| 1124543798 | Jerry Wayne Barton Jr. | Nurse Practitioner | 101 E 15th Ave, Gulf Shores, AL 36542-3501 | 2017-08-04 |
| 1871029991 | Michael Hall | Nurse Practitioner | 101 E 15th Ave, Gulf Shores, AL 36542-3501 | 2017-05-10 |
| 1255887626 | Kari Kathrine O'neal | Nurse Practitioner | 156 E 15th Ave, Gulf Shores, AL 36542-3516 | 2016-08-26 |
| 1053711911 | Erin Dewrell Prendergast | Nurse Practitioner | 1700 W 2nd St, Gulf Shores, AL 36542-3422 | 2014-08-28 |
| 1144665597 | Lisa Ellen Smith | Nurse Practitioner | 101 E 15th Ave, Gulf Shores, AL 36542-3501 | 2013-04-29 |
| 1568752350 | Lauren Taylor Bodenhamer | Nurse Practitioner | 101 E 15th Ave, Gulf Shores, AL 36542-3501 | 2011-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174320 | Sweet Home Telehealth LLC | Nurse Practitioner | 3 Sudworth Dr Sw, Huntsville, AL 35824-4099 | 2020-11-07 |
| 1851991954 | Terry Brock | Nurse Practitioner | 4232 Cahaba Dr, Vestavia, AL 35243-1600 | 2020-10-28 |
| 1568062784 | Stephanie Terese Godwin | Nurse Practitioner | 391 Ashcraft Ln, Atmore, AL 36502-4225 | 2020-10-27 |
| 1588264725 | Sabine Susanne Lamont | Nurse Practitioner | 41 Eminence Way, Suite A, Pell City, AL 35128-2338 | 2020-10-27 |
| 1386243574 | Carl Andrew Ballard | Nurse Practitioner | 2635 Johnson Bottom Rd, Detroit, AL 35552-2731 | 2020-10-20 |
| 1023616661 | Yaira Maldonado | Nurse Practitioner | 191 Lee Road 207, Phenix City, AL 36870-8240 | 2020-10-15 |
| 1295333409 | Olivia Palmer | Nurse Practitioner | 770 W Market St, Athens, AL 35611 | 2020-10-12 |
| 1720685050 | Sean Jackson | Nurse Practitioner | 217 Tradewinds Cir, Alabaster, AL 35007-3019 | 2020-10-09 |
| 1104423235 | Rita Wiggins Branch | Nurse Practitioner | 12350 Flint Dr, Moundville, AL 35474-6246 | 2020-10-01 |
| 1538776778 | Mary Katherine Brandler | Nurse Practitioner | 1171 King Arthur Ct, Alabaster, AL 35007-3000 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
| City | GULF SHORES |
| Zip Code | 36542 |
Please comment or provide details below to improve the information on NICOLE M BODINE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.